Provider Demographics
NPI:1457753220
Name:APPLIED BEHAVIORAL CONCEPTS, LLC
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MELBY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:619-384-3832
Mailing Address - Street 1:7326 N GREELEY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-5244
Mailing Address - Country:US
Mailing Address - Phone:619-384-3832
Mailing Address - Fax:503-285-5332
Practice Address - Street 1:7326 N GREELEY AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5244
Practice Address - Country:US
Practice Address - Phone:619-384-3832
Practice Address - Fax:503-285-5332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty